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A party may file a motion to proceed on appeal in forma pauperis in the court of appeals within 30 days after service of the notice prescribed in Rule 24(a)(4). Texas Fee Waiver Form.Statement of Inability to Afford Payment of Court Costs or an Appeal Bond (Bilingual); Guided Form. These documents use a variety of different names including Request to Waive Fees, Pauper's Affidavit, or Request to Proceed in Forma Pauperis. Affidavit in support of motion: I swear under penalty of perjury that I am financially unable to pay the docket and filing fees for my appeal. Instructions: Complete this form and file it with the court. Appeals without prepayment of fees or costs in forma pauperis. , address, and telephone no. How do I ask the Court to give me permission to file my case n Forma Pauperis? Court Costs, Fees, And Surcharges.